Treatment failure in community-adquired pneumonia: coccidioidomycosis in a traveler patient

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Date
2013
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Journal ISSN
Volume Title
Publisher
SOC CHILENA INFECTOLOGIA
Abstract
Treatment failure in community-acquired pneumonia is defined as a clinical condition with inadequate response to antimicrobial therapy. Resistant and unusual microorganisms and noninfectious causes are responsible for treatment failure. Coccidioides immitis is a fungus that causes pneumonia in the northern hemisphere, especially in the United States and northern Mexico. We report a case of pulmonary coccidioidomycosis imported from Mexico to Chile. After a comprehensive study, histopathology was able to establish Coccidiodes immitis as the causative agent, achieving clinical and radiological improvement with antifungal therapy.
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Keywords
Coccidioidomycosis, travel, pneumonia, treatment failure
Citation